Đánh giá tình trạng chăm sóc người bệnh sau phẫu thuật áp xe vú tại Khoa Ngoại Vú, Bệnh viện K

Breast abscesses represent a significant infectious pathology within mammary glands, particularly prevalent among women of childbearing age, often linked to pregnancy and lactation. While generally benign, untreated or improperly managed breast infections can progress to complex abscess formations, necessitating surgical intervention beyond antibiotic therapy. This study addresses the critical need to understand the contemporary clinical landscape and treatment efficacy for breast abscesses, especially in a specialized setting like K Hospital. By evaluating the characteristics and treatment outcomes, this research aims to contribute valuable insights for optimizing patient care pathways and improving prognostic indicators in breast surgery.

Healthcare professionals, including breast surgeons, general surgeons, obstetricians, general practitioners, and researchers interested in infectious diseases and breast pathology.

This retrospective descriptive study investigated the clinical and paraclinical characteristics and treatment outcomes of 215 patients diagnosed with breast abscesses at K Hospital's Breast Surgery Department. The findings indicate that breast abscesses predominantly affect young women (average 27.9 years), with a substantial proportion associated with pregnancy (24.2%) and breastfeeding (40.5%). A notable 54.4% of patients presented with a history of prior breast disease, and 61.9% had abscesses larger than 5 cm. Pre-hospitalization, 94.4% had received antibiotics, and 50.7% had undergone incision and drainage. The primary treatment strategy at the hospital involved extensive surgical debridement (84.7%) for complex cases, with a smaller proportion requiring only incision and drainage (15.3%). Microbiological analysis frequently identified Staphylococcus aureus (91.5%) as the causative agent. The overall cure rate achieved was 91.6%, with no complications reported during a six-month follow-up period. This highlights the effectiveness of comprehensive surgical management and rigorous postoperative care in achieving favorable outcomes for breast abscess.